{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:15:30Z","timestamp":1760058930824,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Health Labour Sciences Research Grant, the Ministry of Health, Labour and Welfare, Japan","award":["23FC0201"],"award-info":[{"award-number":["23FC0201"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Materials"],"abstract":"<jats:p>A nationwide multicenter follow-up cohort study of hip-replacement arthroplasties performed for nontraumatic osteonecrosis of the femoral head (ONFH) was conducted to clarify factors associated with need for reoperation. We analyzed 7393 arthroplasties including 6284 total hip arthroplasties (THAs), 886 bipolar hemiarthroplasties (BPs), 188 total resurfacing arthroplasties, and 35 hemi-resurfacing arthroplasties (hRSs). The identified risk factors were combined systemic steroid use and excessive alcohol consumption (both ONFH-associated factors), a lateral approach, alumina BPs (aBPs), and hRSs, which were reported previously. The present study performed further analyses separately for THAs and BPs to clarify risk factors in each surgical group. A Cox proportional-hazard model identified the following risk factors: the acetabular-articulating materials of conventional polyethylene (cPE) and metal in the THAs and both ONFH-associated factors, minimum-incision surgery (MIS), and aBPs in the BPs. The risk factors were specific to each surgical group. In the ONFH patients, when performing THA, cPE and metal are not recommended as the acetabular-articulating material. When performing BP, patients with both ONFH-associated factors should be treated carefully, and the employment of MIS and use of aBP are not good strategies.<\/jats:p>","DOI":"10.3390\/ma18092125","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T04:28:22Z","timestamp":1746505702000},"page":"2125","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Articulating Materials Are Determinants of Survivorship of Hip Arthroplasties Performed for Nontraumatic Osteonecrosis of the Femoral Head"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5649-534X","authenticated-orcid":false,"given":"Seneki","family":"Kobayashi","sequence":"first","affiliation":[{"name":"The Investigation Committee on Osteonecrosis of the Femoral Head Under the Ministry of Health, Labour and Welfare, Tokyo 100-8959, Japan"},{"name":"Department of Orthopaedic Surgery, Suwa Red Cross Hospital, Suwa 392-8510, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5305-3179","authenticated-orcid":false,"given":"Nobuhiko","family":"Sugano","sequence":"additional","affiliation":[{"name":"The Investigation Committee on Osteonecrosis of the Femoral Head Under the Ministry of Health, Labour and Welfare, Tokyo 100-8959, Japan"},{"name":"Department of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Suita 565-0871, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9352-465X","authenticated-orcid":false,"given":"Wataru","family":"Ando","sequence":"additional","affiliation":[{"name":"The Investigation Committee on Osteonecrosis of the Femoral Head Under the Ministry of Health, Labour and Welfare, Tokyo 100-8959, Japan"},{"name":"Department of Orthopaedic Surgery, Kansai Rosai Hospital, Amagasaki 660-0064, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wakaba","family":"Fukushima","sequence":"additional","affiliation":[{"name":"The Investigation Committee on Osteonecrosis of the Femoral Head Under the Ministry of Health, Labour and Welfare, Tokyo 100-8959, Japan"},{"name":"Department of Public Health, Osaka Metropolitan University Graduate School of Medicine, Osaka 545-8585, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1567-0667","authenticated-orcid":false,"given":"Kyoko","family":"Kondo","sequence":"additional","affiliation":[{"name":"Research Support Platform, Osaka Metropolitan University Graduate School of Medicine, Osaka 545-8585, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6367-1299","authenticated-orcid":false,"given":"Takashi","family":"Sakai","sequence":"additional","affiliation":[{"name":"The Investigation Committee on Osteonecrosis of the Femoral Head Under the Ministry of Health, Labour and Welfare, Tokyo 100-8959, Japan"},{"name":"Department of Orthopedic Surgery, Yamaguchi University Graduate School of Medicine, Ube 755-8505, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1007\/s00264-018-3980-1","article-title":"Nationwide multicenter follow-up cohort study of hip arthro-plasties performed for osteonecrosis of the femoral head","volume":"42","author":"Kobayashi","year":"2018","journal-title":"Int. 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Available online: https:\/\/aoanjrr.sahmri.com\/annual-reports-2024.","key":"ref_4"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3109\/17453674.2013.874927","article-title":"Increased risk of revision in patients with non-traumatic femoral head necrosis","volume":"85","author":"Bergh","year":"2014","journal-title":"Acta Orthop."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.2106\/JBJS.18.01218","article-title":"Long-term survivorship of total hip arthroplasty with highly cross-linked polyethylene for osteonecrosis","volume":"101","author":"Hart","year":"2019","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1080\/00016470510030319","article-title":"Higher failure rate and stem migration of an uncemented femoral component in patients with femoral head osteonecrosis than in patients with osteoarthrosis","volume":"76","author":"Radl","year":"2005","journal-title":"Acta Orthop."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"3043","DOI":"10.1007\/s00264-023-05761-6","article-title":"The outcomes of total hip replacement in osteonecrosis versus osteoarthritis: A systematic review and meta-analysis","volume":"47","author":"Salman","year":"2023","journal-title":"Int. Orthop."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1097\/01.blo.0000128217.18356.87","article-title":"Comparison between bipolar hemiarthroplasty and THA for osteonecrosis of the femoral head","volume":"424","author":"Lee","year":"2004","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1007\/s00402-012-1613-5","article-title":"Is bipolar hemiarthroplasty a reliable option for Ficat stage III osteonecrosis of the femoral head? 15- to 24-year follow-up study","volume":"132","author":"Hwang","year":"2012","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1007\/s004020050274","article-title":"Polyethylene wear from femoral bipolar neck-cup impingement as a cause of femoral prosthetic loosening","volume":"117","author":"Kobayashi","year":"1998","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1007\/s00264-012-1612-8","article-title":"Evaluation of bipolar hemiarthroplasty for the treatment of steroid-induced osteonecrosis of the femoral head","volume":"36","author":"Moriya","year":"2012","journal-title":"Int. Orthop."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2535","DOI":"10.1007\/s00264-024-06258-6","article-title":"Concerns with alumina bipolar hemiarthroplasties compared to metal bipolar hemiarthroplasties when performed for nontraumatic osteonecrosis of the femoral head","volume":"48","author":"Kobayashi","year":"2024","journal-title":"Int. Orthop."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"4437","DOI":"10.1007\/s00402-022-04633-9","article-title":"Long-term survival analysis of cementless large-diameter head metal-on-metal total hip arthroplasty","volume":"143","author":"Holappa","year":"2023","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.artd.2018.07.003","article-title":"Hip arthroplasty for osteonecrosis of the femoral head secondary to alcohol abuse","volume":"5","author":"Ponzio","year":"2018","journal-title":"Arthroplast. Today"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"400","DOI":"10.3928\/01477447-20090511-06","article-title":"Total hip arthroplasty for alcoholic osteonecrosis of the femoral head","volume":"32","author":"Yuan","year":"2009","journal-title":"Orthopedics"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"840","DOI":"10.2106\/JBJS.16.00494","article-title":"Implant survival after minimally invasive anterior or anterolateral vs. conventional posterior or direct lateral approach: An analysis of 21,860 total hip arthroplasties from the Norwegian Arthroplasty Register (2008 to 2013)","volume":"99","author":"Mjaaland","year":"2017","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2371","DOI":"10.1007\/s00402-021-04085-7","article-title":"Comparing uncemented, hybrid and cemented primary total hip arthroplasty in young patients, a New Zealand Joint Registry study","volume":"142","author":"Boyle","year":"2022","journal-title":"Arch Orthop Trauma Surg."}],"container-title":["Materials"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1996-1944\/18\/9\/2125\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:27:25Z","timestamp":1760030845000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1996-1944\/18\/9\/2125"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,6]]},"references-count":18,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["ma18092125"],"URL":"https:\/\/doi.org\/10.3390\/ma18092125","relation":{},"ISSN":["1996-1944"],"issn-type":[{"type":"electronic","value":"1996-1944"}],"subject":[],"published":{"date-parts":[[2025,5,6]]}}}